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III 期结直肠癌的 microRNA 表达谱:循环 miR-18a 和 miR-29a 作为有前途的生物标志物。

microRNA expression profile in stage III colorectal cancer: circulating miR-18a and miR-29a as promising biomarkers.

机构信息

Department of Oncology Research, Parc Taulí Foundation - University Institute UAB, Corporació Sanitària Parc Taulí Hospital, Parc Taulí s/n, 08208 Sabadell, Spain.

出版信息

Oncol Rep. 2013 Jul;30(1):320-6. doi: 10.3892/or.2013.2475. Epub 2013 May 15.

Abstract

Biomarkers that can facilitate disease detection, staging and prediction of outcome are highly desirable to improve survival and to help determine optimized treatment for colorectal cancer patients. microRNAs (miRNAs) are small non-coding RNAs that play a crucial role in gene regulatory networks. The deregulation of miRNA expression has been found in several types of cancer and may represent a novel class of cancer biomarkers. Our aim was to determine the miRNA signature of stage III colorectal cancer (CRC) tumors and to identify potential circulating miRNAs that may represent non-invasive biomarkers in CRC patients. Genome-wide microarray analysis of miRNA expression was performed on 12 paired tumor and non-tumor formalin-fixed paraffin-embedded tissues from stage III CRC patients. A selection of differentially overexpressed miRNAs was validated by quantitative real-time polymerase chain reaction (qRT-PCR) and determined in the serum of a set of 56 individuals (30 stage III CRC patients and 26 healthy individuals). Using 1.5-fold expression difference as a cut-off level, 43 miRNAs were identified as differentially expressed in tumor versus normal tissue. Using reverse transcription and qRT-PCR, 11 miRNAs (miR-135b, miR-141, miR-18a, miR-20a, miR-21, miR-224, miR-29a, miR-31, miR-34a, miR-92a and miR-96) were confirmed as significantly overexpressed in tumor samples when compared with normal samples. We were able to detect 9 of these 11 miRNAs in serum samples from CRC patients and healthy individuals. Serum levels of miR-18a and miR-29a were significantly higher in CRC patients when compared to levels in the controls (p<0.05). In conclusion, this study identified a substantial number of miRNAs which were differentially expressed in stage III colorectal tumors. Moreover, the findings provide relevant information concerning overexpressed tumoral miRNAs as potential circulating biomarkers and highlight serum miR-18a and miR-29a as promising biomarkers for the screening and monitoring of CRC patients.

摘要

生物标志物可以促进疾病的检测、分期和预后预测,从而提高生存率,并帮助确定结直肠癌患者的最佳治疗方案。微小 RNA(miRNA)是一种小的非编码 RNA,在基因调控网络中起着至关重要的作用。miRNA 表达的失调已在多种类型的癌症中被发现,可能代表一类新的癌症生物标志物。我们的目的是确定 III 期结直肠癌(CRC)肿瘤的 miRNA 特征,并鉴定可能代表 CRC 患者非侵入性生物标志物的潜在循环 miRNA。对 12 对来自 III 期 CRC 患者的肿瘤和非肿瘤福尔马林固定石蜡包埋组织进行 miRNA 表达的全基因组微阵列分析。通过定量实时聚合酶链反应(qRT-PCR)验证选择的差异过表达 miRNA,并在 56 个人的一组(30 名 III 期 CRC 患者和 26 名健康个体)的血清中确定。使用 1.5 倍表达差异作为截止值,在肿瘤与正常组织之间鉴定出 43 个差异表达的 miRNA。使用逆转录和 qRT-PCR,在肿瘤样本中证实了 11 个 miRNA(miR-135b、miR-141、miR-18a、miR-20a、miR-21、miR-224、miR-29a、miR-31、miR-34a、miR-92a 和 miR-96)的表达显著上调与正常样本相比。我们能够在 CRC 患者和健康个体的血清样本中检测到这 11 个 miRNA 中的 9 个。与对照组相比,CRC 患者血清中 miR-18a 和 miR-29a 的水平显著升高(p<0.05)。总之,本研究鉴定了大量在 III 期结直肠肿瘤中差异表达的 miRNA。此外,这些发现为过度表达的肿瘤 miRNA 作为潜在的循环生物标志物提供了相关信息,并强调了血清 miR-18a 和 miR-29a 作为 CRC 患者筛查和监测的有前途的生物标志物。

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